NR-6521 PHARM EXAM QUESTIONS WITH ANSWERS
ALL CORRECT 2025
A .female .patient .is .taking .filgrastim .(Neupogen) .to .decrease .the .incidence .of .infection. .The
.nurse .notices .a .small .increase .in .the .neutrophil .count .2 .days .after .starting .therapy. .The .nurse's
.evaluation .of .the .increase .is .that
the .increase .in .the .neutrophil .count .is .only .transient.
A .2-year-old .child .is .diagnosed .with .a .minor .ailment .and .is .to .be .administered .medications .at
.home .for .2 .weeks. .The .child .lives .with .his .mother, .grandmother, .and .four .other .children
.between .the .ages .of .14 .months .and .7 .years. .The .home .health .nurse .is .asked .to .assess .the
.home .environment .to .determine .if .it .is .appropriate .for .the .child .to .take .his .medication .at
.home. .Which .of .the .following .will .have .the .greatest .impact .on .the .nurse's .assessment?
Where .the .medication .will .be .stored
A .nurse .who .provides .care .on .a .pediatric .unit .of .a .hospital .is .aware .that .the .potential .for
.harm . as .result .of .drug .errors .is .higher .among .infants .& .children .than .adults. .This .fact .is
.primarily .due .to .Immature .liver .and .kidney .function .in .infants .and .children.
A .nurse .is .caring .for .a .46-year-old .female .patient .who .is .taking .paclitaxel .for .ovarian
.cancer. .Two .or .three .days .after .the .infusion .of .the .drug, .the .nurse .must .closely .monitor
.for .which .of .the .following?
Neurotoxicity
A .15-year-old .boy .who .has .been .taking .dextroamphetamine .for .the .treatment .of .ADHD .has
.been .experiencing .a .depressed .mood .and .a .sense .of .hopelessness. .He .confides .in .the .school
.nurse .that .he .has .begun .taking .his .stepfather's .antidepressant .to .improve .his .mood. .After
.immediately .phoning .the .boy's .stepfather, .the .nurse .learns .that .the .drug .in .question .is
.phenelzine .(Nardil), .a .monoamine .oxidase .inhibitor .(MAOI). .The .nurse .should .recognize .that
.this .combination .of .drugs .creates .a .serious .risk .of .what .health .problem?
Hypertensive .crisis
A7-year-old .child .has .been .taking .tetracycline .for .a .bacterial .infection. .The .nurse .will .be
.sure . to .inform .the .parents .that .this .drug .could .cause
staining .of .permanent .teeth.
Mr. .Laird .is .a .49-year-old .electrician .who .experienced .severe .burns .on .his .trunk, .arms, .and
.hands .in .a .workplace .accident .2 .weeks .ago. .Part .of .his ...Apply .a .layer .of .silver .sulfadiazine
.that .is .sufficiently .thick .to .make .the .wound .bed .invisible.
Cleanse .the .wound .of .debris .prior .to .applying .the .silver .sulfadiazine
A .patient .has .been .prescribed .daptomycin .for .a .complicated .skin .infection. .Which .of .the
.following .will .the .nurse .advise .the .patient .to .report .immediately?
Muscle .pain .or .tingling
An .immunocompromised .7-year-old .child .was .recently .discharged .home .with .a .... .for
.home .antibiotic . therapy. . He . has . now . been . brought . to . the . emergency . department . by
,. his . mother .and .father .with .signs .and .symptoms .of .line .sepsis. .Upon .questioning,
....Caregiver .Ineffective .Family .Therapeutic .Regimen .Management
,A .patient's .current .course .of .cancer .treatment .involves .the .administration .of .a .conjugated
.monoclonal .antibody. .What .characteristic .of .the .?
The .targeted .therapy .is .combination .of .a .monoclonal .antibody, .a .kinase .inhibitor, .and .an
.inorganic .cytotoxin.
A .female .patient .has .been .prescribed .estrogen .therapy. .Which .of .the .following .will .the .nurse
.advise .the .patient .is .a .common?
Breakthrough .bleeding
A .nurse .works .at .a .weight .management .clinic. .To .which .of .the .following .overweight .patients
.could .the .nurse .safely .administer .dextroamphetamine?
A .48-year-old .Caucasian .man .who .has .adult-onset .diabetes
A .patient .with .a .diagnosis .of .chronic .myeloid .leukemia .has .met .with .her .oncologist, .who .has
.recommended .treatment .with .the .kinase .inhibitor .imatinib. .What .route .of .administration
.should .the .nurse .explain .to .the .patient?
Oral .administration .of .imatinib .in .a .home .setting
A .nurse .practitioner .orders .150 .mg .of .oral .fluconazole .for .a .patient .with .vulvovaginal
.candidiasis. .The .patient .should .expect .to .take .medication
once .a .day.
A .postmenopausal .patient .is .prescribed .bisphosphonates .to .treat .osteoporosis. .The .nurse .will
.instruct .the .patient .to .take .the .drug
first .thing .in .the .morning.
When .planning .care .for .a .patient .who .is .receiving .filgrastim .(Neupogen) .for .a .nonmyeloid
.malignancy, .the .nurse .should .formulate .which .of .the .following .patient .outcomes?
The .patient .will .not .develop .an .infection.
.The .patient .will .not .experience .bone .pain.
The .patient .will .be .able .to .self-administer .filgrastim .at
.home. .The .patient .will .not .develop .febrile .neutropenia.
A .Nurse .Practitioner .is .explaining .the .use .of .acyclovir .therapy .to .a .72-year- .old .man.
.Nephrotoxicity .is .discussed .as .a .major .adverse .effect .in .older .patients. .To .minimize .the .risk
.of .the .patient .developing .this .adverse .effect, .the .nurse .will .advise .him .to
stay .well .hydrated .by .drinking .at .least .eight .8-oz .glasses .of .water .daily.
A .Nurse .Practitioner .is .discussing .with .a .58-year-old .male .patient .the .causes .of
.erectile .dysfunction .in .men .over .50 .years .of .age. .Which .of .the .following .will .the .nurse
.inform .the .patient .is .the .primary .physical .cause .of .erectile .dysfunction .of .men .in .this
.age .group?
Atherosclerosis .of .the .penile .artery
, A .patient .is .being .seen .in .the .emergency .department .for .a .sprained .ankle .and .is .given .a .drug
.to .relieve .pain. .When .a .second .dose .of .the .pain .medication .is .given, .the .patient .develops
.redness .of .the .skin, .itching, .and .swelling .at .the .site .of .injection .of .the .drug. .The .most .likely
.cause .of .this .response .is
an .allergic .response.
A .Nurse .Practitioner .is .assigned .to .a .patient .who .is .at .32 .weeks' .gestation .and .is .receiving
.terbutaline .(Brethine) .IV .for .24 .hours .to .control .preterm .labor. .Which .of .the .following
.nursing .actions .will .the .nurse .take .to .decrease .the .risk .of .hypotension .and .promote
.circulation .to .the .fetus?
Instruct .the .patient .to .lie .on .her .left .side .during .the .infusion.
A .Nurse .Practitioner .is .explaining .to .a .pregnant .21-year-old .college .student .why .she .cannot
.continue .to .take .ibuprofen .(Advil) .for .her .headaches. .The .nurse .draws .a .picture .depicting
.drug .molecules .crossing .the .placental .membrane .and .entering .into .the .fetal .circulation. .The
.nurse .tells .the .patient .that .the .main .reason .this .happens .is .because
drugs .compete .with .the .hormones .of .pregnancy .for .albumin-binding .sites.
A .Nurse .Practitioner .is .aware .that .the .concept .of .selective .toxicity .is .foundational .to
.antimicrobial .therapy. .Which .of .the .following .statements .most .accurately .describes .selective
.toxicity?
A .drug .harms .microbes .without .harming .human .cells.
A .54-year-old .woman .with .a .history .of .osteoporosis .has .been .prescribed .ciprofloxacin .for
.recurrent .cystitis. .Because .of .the .patient's .history, .the .nurse .would .be .sure .to .discuss .with .the
.woman .the .use .of
food .containing .iron .or .calcium.
A .66-year-old .man .has .made .an .appointment .with .his .primary .care .provider .to .discuss .his
.recent .erectile .dysfunction .(ED) .and .has .requested .a .prescription .for .tadalafil .(Cialis) .based
.on .television .commercials .he .has .seen. .What .characteristic .of .this .patient .would .most .likely
.contraindicate .the .use .of .tadalafil .for .his .ED?
The .patient .has .unstable .angina .and .uses .a .nitroglycerin .patch
An .immunocompromised .7-year-old .child .was .recently .discharged .home .with .a .peripherally-
.inserted .central .line .(PIC .line) .for .home .antibiotic .therapy. .He .has .now .been .brought .to .the
.emergency .department .by .his .mother .and .father .with .signs .and .symptoms .of .line .sepsis.
.Upon .questioning, .the .mother .states .that .she .has .been .removing .the .PIC .dressing .daily .and
.washing .the .site .with .warm .water .and .a .cloth. .What .nursing .diagnosis .is .most .appropriate .in
.this .situation?
Ineffective .Family .Therapeutic .Regimen .Management
Which .of .the .following .would .the .nurse .include .in .a .teaching .plan .about .the .signs .and
.symptoms .of .thrombophlebitis .and .thromboembolism .that .should .be .reported .by .a .patient
.taking .estrogen? .Headaches .and .chest .pain
ALL CORRECT 2025
A .female .patient .is .taking .filgrastim .(Neupogen) .to .decrease .the .incidence .of .infection. .The
.nurse .notices .a .small .increase .in .the .neutrophil .count .2 .days .after .starting .therapy. .The .nurse's
.evaluation .of .the .increase .is .that
the .increase .in .the .neutrophil .count .is .only .transient.
A .2-year-old .child .is .diagnosed .with .a .minor .ailment .and .is .to .be .administered .medications .at
.home .for .2 .weeks. .The .child .lives .with .his .mother, .grandmother, .and .four .other .children
.between .the .ages .of .14 .months .and .7 .years. .The .home .health .nurse .is .asked .to .assess .the
.home .environment .to .determine .if .it .is .appropriate .for .the .child .to .take .his .medication .at
.home. .Which .of .the .following .will .have .the .greatest .impact .on .the .nurse's .assessment?
Where .the .medication .will .be .stored
A .nurse .who .provides .care .on .a .pediatric .unit .of .a .hospital .is .aware .that .the .potential .for
.harm . as .result .of .drug .errors .is .higher .among .infants .& .children .than .adults. .This .fact .is
.primarily .due .to .Immature .liver .and .kidney .function .in .infants .and .children.
A .nurse .is .caring .for .a .46-year-old .female .patient .who .is .taking .paclitaxel .for .ovarian
.cancer. .Two .or .three .days .after .the .infusion .of .the .drug, .the .nurse .must .closely .monitor
.for .which .of .the .following?
Neurotoxicity
A .15-year-old .boy .who .has .been .taking .dextroamphetamine .for .the .treatment .of .ADHD .has
.been .experiencing .a .depressed .mood .and .a .sense .of .hopelessness. .He .confides .in .the .school
.nurse .that .he .has .begun .taking .his .stepfather's .antidepressant .to .improve .his .mood. .After
.immediately .phoning .the .boy's .stepfather, .the .nurse .learns .that .the .drug .in .question .is
.phenelzine .(Nardil), .a .monoamine .oxidase .inhibitor .(MAOI). .The .nurse .should .recognize .that
.this .combination .of .drugs .creates .a .serious .risk .of .what .health .problem?
Hypertensive .crisis
A7-year-old .child .has .been .taking .tetracycline .for .a .bacterial .infection. .The .nurse .will .be
.sure . to .inform .the .parents .that .this .drug .could .cause
staining .of .permanent .teeth.
Mr. .Laird .is .a .49-year-old .electrician .who .experienced .severe .burns .on .his .trunk, .arms, .and
.hands .in .a .workplace .accident .2 .weeks .ago. .Part .of .his ...Apply .a .layer .of .silver .sulfadiazine
.that .is .sufficiently .thick .to .make .the .wound .bed .invisible.
Cleanse .the .wound .of .debris .prior .to .applying .the .silver .sulfadiazine
A .patient .has .been .prescribed .daptomycin .for .a .complicated .skin .infection. .Which .of .the
.following .will .the .nurse .advise .the .patient .to .report .immediately?
Muscle .pain .or .tingling
An .immunocompromised .7-year-old .child .was .recently .discharged .home .with .a .... .for
.home .antibiotic . therapy. . He . has . now . been . brought . to . the . emergency . department . by
,. his . mother .and .father .with .signs .and .symptoms .of .line .sepsis. .Upon .questioning,
....Caregiver .Ineffective .Family .Therapeutic .Regimen .Management
,A .patient's .current .course .of .cancer .treatment .involves .the .administration .of .a .conjugated
.monoclonal .antibody. .What .characteristic .of .the .?
The .targeted .therapy .is .combination .of .a .monoclonal .antibody, .a .kinase .inhibitor, .and .an
.inorganic .cytotoxin.
A .female .patient .has .been .prescribed .estrogen .therapy. .Which .of .the .following .will .the .nurse
.advise .the .patient .is .a .common?
Breakthrough .bleeding
A .nurse .works .at .a .weight .management .clinic. .To .which .of .the .following .overweight .patients
.could .the .nurse .safely .administer .dextroamphetamine?
A .48-year-old .Caucasian .man .who .has .adult-onset .diabetes
A .patient .with .a .diagnosis .of .chronic .myeloid .leukemia .has .met .with .her .oncologist, .who .has
.recommended .treatment .with .the .kinase .inhibitor .imatinib. .What .route .of .administration
.should .the .nurse .explain .to .the .patient?
Oral .administration .of .imatinib .in .a .home .setting
A .nurse .practitioner .orders .150 .mg .of .oral .fluconazole .for .a .patient .with .vulvovaginal
.candidiasis. .The .patient .should .expect .to .take .medication
once .a .day.
A .postmenopausal .patient .is .prescribed .bisphosphonates .to .treat .osteoporosis. .The .nurse .will
.instruct .the .patient .to .take .the .drug
first .thing .in .the .morning.
When .planning .care .for .a .patient .who .is .receiving .filgrastim .(Neupogen) .for .a .nonmyeloid
.malignancy, .the .nurse .should .formulate .which .of .the .following .patient .outcomes?
The .patient .will .not .develop .an .infection.
.The .patient .will .not .experience .bone .pain.
The .patient .will .be .able .to .self-administer .filgrastim .at
.home. .The .patient .will .not .develop .febrile .neutropenia.
A .Nurse .Practitioner .is .explaining .the .use .of .acyclovir .therapy .to .a .72-year- .old .man.
.Nephrotoxicity .is .discussed .as .a .major .adverse .effect .in .older .patients. .To .minimize .the .risk
.of .the .patient .developing .this .adverse .effect, .the .nurse .will .advise .him .to
stay .well .hydrated .by .drinking .at .least .eight .8-oz .glasses .of .water .daily.
A .Nurse .Practitioner .is .discussing .with .a .58-year-old .male .patient .the .causes .of
.erectile .dysfunction .in .men .over .50 .years .of .age. .Which .of .the .following .will .the .nurse
.inform .the .patient .is .the .primary .physical .cause .of .erectile .dysfunction .of .men .in .this
.age .group?
Atherosclerosis .of .the .penile .artery
, A .patient .is .being .seen .in .the .emergency .department .for .a .sprained .ankle .and .is .given .a .drug
.to .relieve .pain. .When .a .second .dose .of .the .pain .medication .is .given, .the .patient .develops
.redness .of .the .skin, .itching, .and .swelling .at .the .site .of .injection .of .the .drug. .The .most .likely
.cause .of .this .response .is
an .allergic .response.
A .Nurse .Practitioner .is .assigned .to .a .patient .who .is .at .32 .weeks' .gestation .and .is .receiving
.terbutaline .(Brethine) .IV .for .24 .hours .to .control .preterm .labor. .Which .of .the .following
.nursing .actions .will .the .nurse .take .to .decrease .the .risk .of .hypotension .and .promote
.circulation .to .the .fetus?
Instruct .the .patient .to .lie .on .her .left .side .during .the .infusion.
A .Nurse .Practitioner .is .explaining .to .a .pregnant .21-year-old .college .student .why .she .cannot
.continue .to .take .ibuprofen .(Advil) .for .her .headaches. .The .nurse .draws .a .picture .depicting
.drug .molecules .crossing .the .placental .membrane .and .entering .into .the .fetal .circulation. .The
.nurse .tells .the .patient .that .the .main .reason .this .happens .is .because
drugs .compete .with .the .hormones .of .pregnancy .for .albumin-binding .sites.
A .Nurse .Practitioner .is .aware .that .the .concept .of .selective .toxicity .is .foundational .to
.antimicrobial .therapy. .Which .of .the .following .statements .most .accurately .describes .selective
.toxicity?
A .drug .harms .microbes .without .harming .human .cells.
A .54-year-old .woman .with .a .history .of .osteoporosis .has .been .prescribed .ciprofloxacin .for
.recurrent .cystitis. .Because .of .the .patient's .history, .the .nurse .would .be .sure .to .discuss .with .the
.woman .the .use .of
food .containing .iron .or .calcium.
A .66-year-old .man .has .made .an .appointment .with .his .primary .care .provider .to .discuss .his
.recent .erectile .dysfunction .(ED) .and .has .requested .a .prescription .for .tadalafil .(Cialis) .based
.on .television .commercials .he .has .seen. .What .characteristic .of .this .patient .would .most .likely
.contraindicate .the .use .of .tadalafil .for .his .ED?
The .patient .has .unstable .angina .and .uses .a .nitroglycerin .patch
An .immunocompromised .7-year-old .child .was .recently .discharged .home .with .a .peripherally-
.inserted .central .line .(PIC .line) .for .home .antibiotic .therapy. .He .has .now .been .brought .to .the
.emergency .department .by .his .mother .and .father .with .signs .and .symptoms .of .line .sepsis.
.Upon .questioning, .the .mother .states .that .she .has .been .removing .the .PIC .dressing .daily .and
.washing .the .site .with .warm .water .and .a .cloth. .What .nursing .diagnosis .is .most .appropriate .in
.this .situation?
Ineffective .Family .Therapeutic .Regimen .Management
Which .of .the .following .would .the .nurse .include .in .a .teaching .plan .about .the .signs .and
.symptoms .of .thrombophlebitis .and .thromboembolism .that .should .be .reported .by .a .patient
.taking .estrogen? .Headaches .and .chest .pain
